Savannah Lusk
Individual provider Active NPI Family Medicine Physician · Charleston, WV
NPI 1134878499 · NPPES record last updated Jan 3, 2026
Key facts
- NPI
- 1134878499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 36010 (WV)
- Practice address
- 303 Ohio Ave
Charleston, WV 25302-2212 - Phone
- (681) 205-8701
- NPI assigned
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cabin Creek Health Center Inc
Practice addresses (Care Compare)
303 Ohio Ave
Charleston, WV 25302-2212
Phone 30473420401301
Hospital & facility affiliations
- Charleston Area Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260214000836 | WV | Practitioner - Family Practice | 6305326778 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36010 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabin Creek Health Center, Inc. | Current |
Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current |
Accepting new patients |
Locations
104 Alex Ln
Charleston, WV 25304
Phone 30473420401319
107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36010 | WV | Yes |
Addresses
Primary practice location
303 Ohio Ave
Charleston, WV 25302-2212
Mailing address
104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040
Other providers in Charleston, WV
- Angela Lusk
- Brenda Lusk
- Katelynn Lusk
- Kaye Lusk
- Patricia L Lusk
- Stephen Keith Lusk
- Tiaunna Lusk
- James Luster III
- Vincent Lustig
- Luxottica of America Inc.
All providers in Charleston, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.